Unexpected extrusion of the implantable pulse generator of the spinal cord stimulator - A case report -
- Author:
Eun-Ji CHOI
1
;
Hyun-Su RI
;
Hyeonsoo PARK
;
Hye-Jin KIM
;
Ji-Uk YOON
;
Gyeong-Jo BYEON
Author Information
- Publication Type:Case Report
- From:Anesthesia and Pain Medicine 2021;16(1):103-107
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Despite significant technological advances in the implantable pulse generator (IPG), complications can still occur. We report a case that unexpected extrusion of the IPG of spinal cord stimulation (SCS) was promptly identified and successfully removed without any complications. Case: After a car accident 4 years ago, a 55-year-old man who was diagnosed with complex local pain syndrome in his right leg. The SCS was inserted with 2 leads, with the IPG being implanted in the right lower abdomen region. Four years later, he developed extrusion of the IPG from his abdominal region. This unexpected extrusion may have been related to pressure necrosis caused by continued compression of pocket site where a belt was frequently tied. The IPG and the leads were successfully removed without infection occurring.
Conclusions:To prevent unexpected extrusion of IPG, it is necessary to consider in advance whether the pocket site is pressed against the belt.
